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Updated: Mar 6, 2026

Point-of-Care Lung Ultrasound in Adults: Image Acquisition
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[Incidental findings in chest X‑rays].

M O Wielpütz1,2,3, H-U Kauczor4,5,6, S Weckbach4,5

  • 1Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland. Mark.Wielpuetz@med.uni-heidelberg.de.

Der Radiologe
|March 12, 2017
PubMed
Summary
This summary is machine-generated.

Chest X-rays are common, but clinically significant incidental findings are rare in asymptomatic patients. This review details frequent incidental findings in lung parenchyma and mediastinum, guiding further diagnostic steps.

Keywords:
ClarificationLungsMultislice imagingPreoperative x‑rayProjection radiography

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Area of Science:

  • Radiology
  • Diagnostic Imaging

Background:

  • Conventional projection radiography, or chest X-ray, is a frequent radiological procedure.
  • Chest X-rays are often performed on asymptomatic patients for preoperative assessment.
  • Clinically relevant incidental findings on chest X-rays are relatively scarce due to the modality's limited sensitivity.

Purpose of the Study:

  • To review frequent and typical incidental findings on chest X-rays.
  • To cover incidental findings in lung parenchyma, mediastinal structures, pleura, chest wall, and major vessels.
  • To differentiate findings requiring no further clarification from those needing advanced imaging.

Main Methods:

  • Review of literature on incidental findings in chest radiography.
  • Description of common incidental findings in various thoracic structures.
  • Categorization of findings based on diagnostic certainty and need for further investigation.

Main Results:

  • Incidental findings on chest X-rays are infrequent in asymptomatic individuals.
  • Specific frequent incidental findings in lung parenchyma, mediastinum, pleura, chest wall, and vessels are identified.
  • Guidelines are provided for managing incidental findings, distinguishing those needing further multislice imaging.

Conclusions:

  • Chest X-rays have low sensitivity for detecting clinically relevant incidental pathologies in asymptomatic patients.
  • This review provides a structured approach to interpreting common incidental findings on chest X-rays.
  • Clear criteria are presented to determine when further advanced imaging is necessary for incidental thoracic findings.